{
"claim_id": "e4eaaaf2-d142-11e1-b3e4-080027620cdd",
"validation": [
{
"diagnosis": {
"code": "A40.9",
"present_on_admission": "Y"
},
"determination": {
"result": "Unsupported",
"confidence": 0.88,
"reasoning": "Diagnosis not supported as the SOFA score threshold was not met when account for baseline creatinine",
"evidence": [
{
"criteria": "Renal Dysfunction",
"source": {
"start_index": 1319,
"end_index": 1362,
"text": "CKD baseline 1.3 elevated to 2.1 creatinine"
},
"evaluation": "Rejects"
}
]
}
}
]
}
Assistant
Responses are generated using AI and may contain mistakes.